# BROADVIEW DEVELOPMENT ASSOCIATES II

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ida Culver House Broadview Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568429900
- **Authorized official:** TARA L TRAVERS NHA (DIRECTOR OF CLINICAL SERVICES ADMIN)
- **Authorized official phone:** (206) 368-3797

## Contact information

- **Practice address:** 12505 GREENWOOD AVE N, SEATTLE, WA 98133
- **Practice address phone:** (206) 368-3797
- **Practice address fax:** (206) 368-3756
- **Mailing address:** 12505 GREENWOOD AVE N, SEATTLE, WA 98133
- **Mailing address phone:** (206) 368-3797
- **Mailing address fax:** (206) 368-3756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 945 | WA | — |
| 314000000X | Skilled Nursing Facility | 1065 | WA | Yes |

## Other

- **Enumeration date:** 04/28/2006
- **Last updated:** 05/28/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4110656 | — | WA |
| 01 | — | CU2614 | REGENCE BLUE SHIELD | — |